CHARLOTTE JANIS BLISSETT HOLMES WHCNP NPI 1982760336

NPI Information

NPI: 1982760336
Provider Name: CHARLOTTE JANIS BLISSETT HOLMES, WHCNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
5201 HARRY HINES BLVD
WISH TUBAL CLINIC
DALLAS, TX
ZIP 75235
Phone: (214) 590-5306
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Charlotte Janis Blissett Holmes, WHCNP is a women's health nurse practitioner in Dallas, TX. Charlotte Janis Blissett Holmes, WHCNP NPI is 1982760336. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5201 HARRY HINES BLVD
WISH TUBAL CLINIC
DALLAS, TX
ZIP 75235-708
Phone: (214) 590-5306
Fax: (214) 590-2798

The enumeration date for this NPI number is 12/29/2006 and was last updated on 5/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	234536	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	041510104	MEDICAID	TEXAS
2	041510107	MEDICAID	TEXAS
3	041510109	MEDICAID	TEXAS
4	041510110	MEDICAID	TEXAS
5	041510108	MEDICAID	TEXAS
6	041510102	MEDICAID	TEXAS
7	S81392	MEDICARE UPIN
8	041510106	MEDICAID	TEXAS
9	041510111	MEDICAID	TEXAS
10	041510103	MEDICAID	TEXAS
11	8Y5450	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
12	041510105	MEDICAID	TEXAS
13	041510112	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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